PrizmSpine Conditions

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You might be surprised to learn that 80 percent of the time, back and neck pain is simply a result of strain or soft tissue injury. In many of these simple cases of back or neck strain, your condition will improve with specialized exercises, rest and anti-inflammatory medicine. Other times, you may need to see a doctor, perhaps even as soon as possible.

Briefly, here are some rules of thumb to keep in mind about your back or neck problems:

  • Trauma - If you fall down, are in a car accident or do anything abrupt that may have fractured your back, go to a spine specialty clinic within 24 hours.
  • Radicular pain - Anytime you have back or neck pain that radiates down into your leg or arm, you probably need to be evaluated by a spine specialist within two to three days, especially if it is getting worse.
  • Persistent pain - If pain limited to the low back or neck area does not begin to subside after three days with anti-inflammatories and rest, then you probably need to be evaluated by a spine specialist. For example, if you first noticed back or neck pain on Monday, and it is now Thursday, and the pain is not getting better, it is time to see a spine specialist to find out what is causing your problem.
  • Anytime you experience loss of control of your bowel or bladder, that is an EMERGENCY signal that you need to see a spine specialist THE SAME DAY. If you wait too long, you could suffer permanent paralysis of the nerves that control these functions.
  • Foot drop - If you notice that your toe is dragging as you walk, this is a DANGER SIGNAL for serious problems. Again, if you delay, you could experience permanent damage. This problem should be seen within 24 hours by a spine specialist.
  • Weakness, numbness or pain that extends below a knee or elbow is a serious symptom. Go to a spine center within two days.

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Scott B. Phillips, MD is a neurological spine surgeon based in San Antonio who specializes in minimally invasive spine surgery, artificial disc replacement, carpal tunnel surgery, spinal cord stimulator implants and other brain disorders, including brain tumor and chiari decompression. Patients travel from Bexar County, San Marcos and South Texas, including Corpus Christi, Kingsville, McAllen and Brownsville for treatment of back pain, neck pain, brain tumor, carpal tunnel and epilepsy-related neurological problems. Dr. Scott Phillips provides a second opinion for back surgery and neck surgery, and emphasizes non-surgical treatment options in advance of spine surgery. Where surgery is necessary because of a herniated disc or spinal instability, Dr. Phillips uses minimally invasive spine surgery techniques and advanced technology like the artificial disc to help patients relieve pain symptoms and get back to activity. This spine neurosurgeon expertise enables many patients to have outpatient spine surgery and be home the same day. This educational web site at AlamoBrainandSpine.com has home remedies for back pain, neck pain and herniated disc. This site also has our philosophy of care about controversial treatments like laser spine surgery.